Samantha Ardelian, LPCC
Individual provider Active NPI Counselor · Independence, OH
NPI 1194251959 · NPPES record last updated Jul 6, 2023
Key facts
- NPI
- 1194251959
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- C.1801144 (OH)
- Practice address
- 6133 Rockside Rd Ste 403
Independence, OH 44131-2244 - Phone
- (216) 455-5571
- NPI assigned
- May 11, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.1801144 | OH | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pastoral Counseling Service of Summit Co Inc | Current |
Accepting new patients | |
| Lamplight Counseling Services LLC | Current |
Accepting new patients | |
| Pastoral Counseling Service of Summit County | Past |
Accepting new patients |
Locations
611 W Market St
Akron, OH 44303
Phone (330) 996-4600
6133 Rockside Rd
Ste 403
Independence, OH 44131
Phone (216) 455-5571
4015 Medina Rd
Ste 90
Medina, OH 44256
Phone (330) 331-5800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OH | ||
| Counselor | 101Y00000X | C.1801144 | OH | Yes |
Addresses
Primary practice location
6133 Rockside Rd Ste 403
Independence, OH 44131-2244
Mailing address
6133 Rockside Rd Ste 403
Independence, OH 44131-2244
Phone (216) 455-5571
Other practice location 1
611 W Market St
Akron, OH 44303-1411
Phone (330) 996-4600
Other practice location 2
85 Delancey St
New York, NY 10002-3182
Phone (800) 273-8255
Other practice location 3
4641 Fulton Dr NW
Canton, OH 44718-2384
Phone (330) 433-6075
Other providers in Independence, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.